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C. Iwase, T. Iwase; Which Intraocular Lens Will Be Recommended for the Implantation During Fluid–Air Exchange–Required Vitrectomy? . Invest. Ophthalmol. Vis. Sci. 2005;46(13):5486.
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Purpose: The previous reports suggested that the combined cataract surgery with vitrectomy resulted in better prognosis postoperatively than the single vitrectomy, in terms of the visual acuity, against the over 50 year old patients. The high frequent complication that we encountered with in fluid–air exchange–required vitrectomy are chiefly cause by implanting IOL. Recently, wide variety of IOL, such as foldable IOL, have been applied to control the quality of vision, and to eliminate the astigmatism after cataract surgery. Therefore, we have investigated whether or not kinds of IOL affects the extent in the complication, or the visual acuity. Methods: 93 eyes of 92 consecutive patients underwent primary vitrectomy combined with cataract surgery for rhegmatogenous retinal detachment. Phacoemulsification was performed and standard 3–port was created. After fluid air exchange was performed and the retina was attached, IOL was implanted in the capsular bag. The patients were followed up for 3 months without postoperative prone positioning. IOLs implanted are 824C (58 eyes, Pfizer), SA60AT (23 eyes, Alcon), VA60BB (12 eyes, Hoya). Results: 2 IOLs dropped into vitreous cavity at IOL implanting in the VA60BB group, none IOL dropped in other groups. The synechia between iris and IOL was present postoperatively in 3 eyes (824C, 5%), 2 eyes (SA60AT, 9%), and 3eyes (VA60BB, 25%) respectively. The retina was re–detached in 1 eye (824C, 2%) and 1 eye (VA60BB, 8%). Conclusions: It is considered that, in the case required fluid–gas exchange, 1–piece PMMA is one of the most useful IOLs in the stabilization during and post operation, the kind of IOLs is less associated with the results of vitrectomy.
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